What Is Buccal Fat Removal? A Detailed Guide to Cheek Slimming Aesthetics

Key Takeaways
Dt. Emrah İPEK
Written by DentAkademi Editorial Team
Medically reviewed by Dt. Emrah İPEK
Last updated:

Buccal fat removal is a cosmetic surgery procedure that involves removing excess fat tissue from the cheeks to create slimmer and more defined facial contours. Also known as the “Hollywood cheek,” this procedure offers permanent results. Suitable for both men and women, buccal fat removal is generally recommended for individuals aged 20 and above. While post-operative effects may take a few days to subside, the changes in facial definition are permanent. For those seeking facial slimming, this procedure presents an effective and long-lasting solution.

What Is Buccal Fat Removal (Cheek Slimming)?

Also referred to as Hollywood cheek surgery, buccal fat removal involves surgically removing excess fat pads from the cheeks. This procedure is typically performed for aesthetic reasons, aiming to enhance facial definition and highlight the cheekbones. After the operation, the face appears slimmer and more contoured. Popular among celebrities, this surgery is usually performed under local anesthesia and takes approximately 30 minutes to 1 hour. Most patients can be discharged on the same day.

Who Is a Candidate for Buccal Fat Removal?

This surgery is ideal for individuals seeking more prominent facial contours and who are bothered by chubby cheeks. It is especially favored by those with round facial features who appear fuller-faced despite being slim. It offers an effective solution for individuals desiring a more sculpted look or the iconic “Hollywood face.” However, candidates should be in good general health, have suitable skin quality, and ideally be over the age of 25, as facial structure can continue to change until this age.

What Are the Advantages of Buccal Fat Removal?

When performed on the right candidate, buccal fat removal contributes to a more proportionate and slim appearance. It offers numerous aesthetic benefits and can significantly boost self-confidence for those dissatisfied with their full cheeks.

Key advantages of buccal fat removal include:

  • More defined and sharper facial contours
  • Enhanced facial symmetry and proportion
  • Permanent results
  • Performed under local anesthesia
  • No hospital stay required
  • Typically short recovery period
  • Effective solution for those experiencing low self-esteem due to full cheeks
CategoryDetailsKey Notes
Main BenefitsSlimmer face, defined cheekbonesPermanent facial contouring
Possible RisksAsymmetry, aging effect, swellingIrreversible procedure
Ideal CandidatesAdults with round or full cheeksBest after facial growth is complete

What Are the Disadvantages and Risks of Buccal Fat Removal?

As with any surgical procedure, buccal fat removal carries certain risks and drawbacks. Being informed of these potential issues beforehand helps in making an educated decision. Choosing a qualified and experienced professional significantly reduces the associated risks.

Potential disadvantages and risks include:

  • Early signs of aging due to reduced facial volume
  • Asymmetry or altered facial expression
  • Risk of nerve damage, potentially affecting facial movements
  • Irreversible results
  • Possible dissatisfaction with aesthetic outcome
  • Risk of infection
  • Swelling and bruising

How Is Buccal Fat Removal Performed?

Buccal fat removal is a short cosmetic surgery usually performed as an outpatient procedure under local anesthesia. During the operation, the “Bichat fat pad” or “buccal fat pad” inside the cheek is removed to achieve more sculpted and defined facial features. This procedure is suitable for both men and women seeking facial slimming.

Steps involved in the procedure:

  • Examination and treatment planning
  • Administration of anesthesia
  • Internal cheek incision
  • Removal of fat tissue
  • Closure of the incision site
  • Healing and recovery process

Examination and Planning

The first step before the procedure is a comprehensive examination and evaluation. After a general health check, the density of cheek fat and its impact on other facial features are assessed. Since each person’s facial anatomy is different, a personalized aesthetic plan is prepared. This stage is crucial to ensure successful results.

Anesthesia

The procedure is typically performed under local anesthesia. Patients do not feel pain during the operation. For patients with high anxiety, mild sedation may be used.

Internal Cheek Incision

The surgery is performed through small incisions inside the mouth, usually about 1–1.5 cm long. These incisions are hidden from view, making the procedure ideal for individuals who do not want visible scars.

Fat Tissue Removal

Known as “cheek reduction,” this step involves the careful and symmetrical removal of the buccal fat pads. The surgeon aims to extract the same amount of fat from both cheeks to maintain a balanced and natural appearance.

Closure of the Incision

Once the fat is removed, the incisions are closed with dissolvable stitches that do not need to be removed. These stitches are suitable for oral tissue and dissolve gradually during the healing process.

Recovery Process

Recovery usually begins the same day as the procedure. Mild pain, swelling, and sensitivity during chewing are common during the first few days. Cold compresses and prescribed painkillers can ease discomfort. Most people return to daily life within a week, but full recovery may take a few weeks.

Post-Procedure Care for Buccal Fat Removal

To ensure a smooth and safe recovery after buccal fat removal, several precautions should be taken. Since the operation site is inside the mouth, maintaining oral hygiene and following the surgeon’s instructions will minimize complications and enhance comfort.

Important post-op care tips:

  • Apply cold compress during the first 24 hours
  • Maintain strict oral hygiene
  • Avoid hot and hard foods
  • Refrain from smoking and alcohol consumption
  • Avoid excessive facial movements
  • Take medications as prescribed
  • Attend all follow-up appointments regularly

Buccal Fat Removal Cost

The cost of buccal fat removal can vary depending on the surgeon’s experience, the clinic’s location, and additional treatments required. Prices are generally higher in aesthetic clinics located in major cities. Some clinics include consultation and check-ups in the price, while others charge separately. Besides cost, factors such as hygiene standards, surgeon expertise, and techniques used should also be considered. For accurate pricing, it’s best to contact clinics directly.

Frequently Asked Questions About Buccal Fat Removal

What does buccal fat removal mean?

It refers to the surgical removal of excess fat from the cheeks.

The most popular method is buccal fat removal, though fillers and other techniques are also used.

Facial structure continues to develop until the mid-20s.

Exercises, massages, and natural masks may help, but results are not permanent.

Non-surgical cheek slimming can involve fillers or laser treatments.

Yes, buccal fat removal (Hollywood cheek) offers permanent results.

Surgical: buccal fat removal and liposuction. Non-surgical: fillers, Botox, laser.

It is more appropriate after the mid-20s.

Cold compresses and prescribed medications help reduce swelling.

Yes, this procedure is suitable for all genders.

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